<h4>Please register with us!</h4>
<form action="<?= $this->escape($this->form->getAction()) ?>"
      method="<?= $this->escape($this->form->getMethod()) ?>">

<fieldset>
    <legend>Demographics</legend>
    <p>
        Please provide us the following information so we can know more about
        you.
    </p>

    <?= $this->form->age ?>
    <?= $this->form->nationality ?>
    <?= $this->form->income ?>
</fieldset>

<fieldset>
    <legend>User Information</legend>
    <p>
        Now please tell us who you are and how to contact you.
    </p>

    <?= $this->form->firstname ?>
    <?= $this->form->lastname ?>
    <?= $this->form->email ?>
    <?= $this->form->address1 ?>
    <?= $this->form->address2 ?>
    <?= $this->form->city ?>
    <?= $this->form->state ?>
    <?= $this->form->postal ?>
    <?= $this->form->phone ?>
</fieldset>

<?= $this->form->submit ?>
</form>